PREVALENCE OF ASYMPTOMATIC BACTERIURIA AMONG TYPE II DIABETIC PATIENTS IN CENTRAL ZONE OF M.P.

Introduction: Asymptomatic Bacteriuria (ASB) is the most common bacterial infection and frequently recurring problem among diabetic patients. The approach to these infections remains a difficult and sometimes controversial issue, especially in asymptomatic and symptomatic bacteriuria. The objectives of this study were to determine the incidence of Asymptomatic Bacteruria (ASB) in diabetic patients considering age, duration, and changing pattern of uropathogens. Study Design: Random Sampling of urine was done to observe the prevalence of ASB in diabetic women. A well-structured questionnaire was administered to each patient to obtain their demographic data, diabetic history, associated medical/surgical conditions and detailed urinary symptoms. Place and Duration of Study: Study was done in the Central Zone of India (Madhya Pradesh) in Jabalpur City. Urine samples were collected between Dec 2016 to April 2017 from CHL Apollo Hospital and Marble City Hospital, Jabalpur. Methods: Urine cultures and urine analysis were performed on 402 urine specimens collected from diabetic patients in morning (1st voided urine) after overnight fasting. Quantitative bacteriologic cultures, identification of isolates were performed by standard methods. Results: Out of 330 female patients 121 were found positive for ASB while out of 72 male patients 21 were found positive. From the total number 402 diabetic patients, 142 had positive urine cultures, meaning 35.32%. The most common bacteria involved in ASB were Escherichia coli (68.9%) and other causative agent being Candida spp. with prevalence of 14.08%. Conclusion: The incidence of ASB is high in diabetic women than men and was influenced by the patient’s age, sex and duration of diabetes. The great proportion and long term persistence of ASB can cause further complications therefore; urine culture should be performed in all patients with diabetes.